Pharmacist (100% Remote, PA Review, PBM)

Remote Full-time
Fully Remote Pharmacist Excellent Career Growth | Offers Benefits | PBM Company Job Description We are seeking a qualified Pharmacist to review Medicaid members' Utilization Management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. This role requires detailed-oriented work and the ability to provide clinical judgment and effective communication. Regular interaction with healthcare providers is also a key part of this position. Responsibilities + Review and evaluate Medicaid members' Utilization Management requests. + Apply clinical judgment to determine the approval or denial of prior authorizations based on client-specific criteria. + Communicate regularly with healthcare providers to discuss Utilization Management requests. + Participate in monthly video calls with the supervisor and maintain daily communication with coworkers, technicians, and pharmacists. Essential Skills + Two years of experience in retail, managed care, or clinical pharmacy. + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree. + Current pharmacist license in good standing with the State Board of Pharmacy in the relevant state. + Ability to prioritize tasks and manage multiple projects simultaneously. + Strong drive to deliver results and work independently. + Ability to make clinical decisions independently. Additional Skills & Qualifications + Proficient in learning new computer systems and basic IT troubleshooting. + Experience with Pharmacy Benefits Management preferred. + Proficient in Microsoft Word and Excel. + Ability to type at least 35 words per minute. Job Type & Location This is a Contract position based out of Eagan, MN. Pay and Benefits The pay range for this position is $55.00 - $55.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jan 29, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email [email protected] (%[email protected]) for other accommodation options. Apply tot his job
Apply Now

Similar Opportunities

Applied Scientist, Optical (contract)

Remote

Optical Technician / Optician

Remote

Career Opportunities: Associate Optometrist (Remote) Louisiana (904870)

Remote

Consult Responder (EMT,Paramedic, Transplant, Organ Procurement)

Remote

Paramedic - Emergency Medical Services (EMS)

Remote

Remote Payroll Assistant

Remote

Vice President Payroll - Enterprise Remote

Remote

Pharmacist - Hybrid Remote Opportunity Job at Encompass Health in Yuma

Remote

Prior Authorization Pharmacist (MUST HAVE 3+ YEARS IN PBM OR ADJACENT)

Remote

Consultative Pharmacist - Remote (TN or PA)

Remote

Experienced Customer Service Professional - Part-Time Chat Support Expert at blithequark

Remote

[Remote] Revenue Cycle Data Analyst – Specialty Infusion

Remote

[Remote] Southern California Based Litigation Attorney (Contract and Remote)

Remote

Experienced Remote Customer Service Coordinator – Delivering Exceptional Support and Solutions from Home with blithequark

Remote

Part-time Remote Data Entry Specialist for Freshers - Flexible Hours, Career Growth, and Competitive Pay

Remote

**Experienced Part-Time Virtual Customer Care Representative – American Express Remote Jobs**

Remote

Experienced Customer Service Representative – Work from Home Opportunity with Flexible Scheduling and Comprehensive Benefits at blithequark

Remote

Fullstack Developer (Java, React), EU based (Remote)

Remote

Sales Commissions Analyst

Remote

Experienced Lead Generation and Data Entry Specialist for Ongoing Project Development and Client Acquisition at blithequark

Remote
← Back to Home